Shin Jong Soo, Kim Yeon Soo
Department of Radiology, Hallym University Dongtan Sacred Heart Hospital, 7 Keunjaebong-gil, Dongtan 1(il)-dong, Hwaseong-si, Gyeonggi-do, South Korea.
Department of Thoracic and cardiovascular surgery, Inje University Ilsan Paik Hospital, 170 Juwha-ro, Ilsansu-gu, Goyang-si, Gyeonsgi-Do, South Korea.
Radiol Case Rep. 2020 Jul 2;15(9):1428-1432. doi: 10.1016/j.radcr.2020.06.021. eCollection 2020 Sep.
Surgical resection is usually indicated for symptomatic mediastinal tumors. However, surgery potentially increases postoperative complications and hospitalization length in patients who are elderly, in poor general condition, or have tumors located in the thoracic inlet. We present an 84-year-old female with progressive cough and dyspnea for 1 week. Simple radiogram and computed tomography scan showed a large superior mediastinal cyst, sized 8.3 × 6.1 × 4.6 cm, narrowing the trachea. Ultrasonography- and fluoroscopy-guided percutaneous sclerotherapy using alcohol and bleomycin was applied a single time. The patient was discharged 2 days later without complication, and she did not develop symptoms over a 6-year period. Percutaneous sclerotherapy, especially in patients who are elderly or in poor general condition, could be an effective and reliable tool for cyst management.
手术切除通常适用于有症状的纵隔肿瘤。然而，对于老年、一般状况较差或肿瘤位于胸廓入口的患者，手术可能会增加术后并发症和住院时间。我们报告一名84岁女性，渐进性咳嗽和呼吸困难1周。简单的X线片和计算机断层扫描显示一个大的上纵隔囊肿，大小为8.3×6.1×4.6cm，使气管变窄。在超声和荧光透视引导下，单次应用酒精和博来霉素进行经皮硬化治疗。患者2天后无并发症出院，并且在6年期间未出现症状。经皮硬化治疗，尤其是对于老年或一般状况较差的患者，可能是一种有效且可靠的囊肿治疗方法。
